Contribution of Age and Gender to Outcome of Blunt Splenic Injury in Adults: Multicenter Study of the Eastern Association for the Surgery of Trauma

Brian G. Harbrecht; Andrew B. Peitzman; Louis Rivera; Brian Heil; Martin A. Croce; John A. Morris; Blaine L. Enderson; Stanley Kurek; Michael Pasquale; Eric R. Frykberg; Joseph P. Minei; Wayne Meredith; Jospeh Young; G. Patrick Kealey; Steven Ross; Fred A. Luchette; Mary C. McCarthy; Frank Davis; David V. Shatz; Glenn Tinkoff; Ernest F. Block; John B. Cone; Larry M. Jones; Thomas Chalifoux; Michael B. Federle; Keith D. Clancy; Juan B. Ochoa; Samir M. Fakhry; Richard Townsend; Richard M. Bell; Leonard Weireter; Michael B. Shapiro; Fred Rogers; Michael Dunham; Clyde E. McAuley

Contribution of Age and Gender to Outcome of Blunt Splenic Injury in Adults: Multicenter Study of the Eastern Association for the Surgery of Trauma

Brian G. Harbrecht, Andrew B. Peitzman, Louis Rivera, Brian Heil, Martin A. Croce, John A. Morris, Blaine L. Enderson, Stanley Kurek, Michael Pasquale, Eric R. Frykberg, Joseph P. Minei, Wayne Meredith, Jospeh Young, G. Patrick Kealey, Steven Ross, Fred A. Luchette, Mary C. McCarthy, Frank Davis, David V. Shatz, Glenn TinkoffErnest F. Block, John B. Cone, Larry M. Jones, Thomas Chalifoux, Michael B. Federle, Keith D. Clancy, Juan B. Ochoa, Samir M. Fakhry, Richard Townsend, Richard M. Bell, Leonard Weireter, Michael B. Shapiro, Fred Rogers, Michael Dunham, Clyde E. McAuley

Wright State University

Research output: Contribution to journal › Article › peer-review

Abstract

Background : The purpose of this study was to examine the contribution of age and gender to outcome after treatment of blunt splenic injury in adults.Methods : Through the Multi-Institutional Trials Committee of the Eastern Association for the Surgery of Trauma (EAST), 1488 adult patients from 27 trauma centers who suffered blunt splenic injury in 1997 were examined retrospectively.Results : Fifteen percent of patients were 55 years of age or older. A similar proportion of patients >= 55 went directly to the operating room compared with patients < 55 (41% vs. 38%) but the mortality for patients >= 55 was significantly greater than patients < 55 (43% vs. 23%). Patients >= 55 failed nonoperative management (NOM) more frequently than patients < 55 (19% vs. 10%) and had increased mortality for both successful NOM (8% vs. 4%, p < 0.05) and failed NOM (29% vs. 12%, p = 0.054). There were no differences in immediate operative treatment, successful NOM, and failed NOM between men and women. However, women >= 55 failed NOM more frequently than women < 55 (20% vs. 7%) and this was associated with increased mortality (36% vs. 5%) (both p < 0.05).Conclusion : Patients >= 55 had a greater mortality for all forms of treatment of their blunt splenic injury and failed NOM more frequently than patients < 55. Women >= 55 had significantly greater mortality and failure of NOM than women < 55.

Original language	American English
Journal	The Journal of Trauma: Injury, Infection, and Critical Care
Volume	51
State	Published - Nov 1 2001

Disciplines

Medical Specialties
Medicine and Health Sciences
Surgery

Cite this

Harbrecht, B. G., Peitzman, A. B., Rivera, L., Heil, B., Croce, M. A., Morris, J. A., Enderson, B. L., Kurek, S., Pasquale, M., Frykberg, E. R., Minei, J. P., Meredith, W., Young, J., Kealey, G. P., Ross, S., Luchette, F. A., McCarthy, M. C., Davis, F., Shatz, D. V., ... McAuley, C. E. (2001). Contribution of Age and Gender to Outcome of Blunt Splenic Injury in Adults: Multicenter Study of the Eastern Association for the Surgery of Trauma. The Journal of Trauma: Injury, Infection, and Critical Care, 51.

Harbrecht, BG, Peitzman, AB, Rivera, L, Heil, B, Croce, MA, Morris, JA, Enderson, BL, Kurek, S, Pasquale, M, Frykberg, ER, Minei, JP, Meredith, W, Young, J, Kealey, GP, Ross, S, Luchette, FA, McCarthy, MC, Davis, F, Shatz, DV, Tinkoff, G, Block, EF, Cone, JB, Jones, LM, Chalifoux, T, Federle, MB, Clancy, KD, Ochoa, JB, Fakhry, SM, Townsend, R, Bell, RM, Weireter, L, Shapiro, MB, Rogers, F, Dunham, M & McAuley, CE 2001, 'Contribution of Age and Gender to Outcome of Blunt Splenic Injury in Adults: Multicenter Study of the Eastern Association for the Surgery of Trauma', The Journal of Trauma: Injury, Infection, and Critical Care, vol. 51.

@article{08b39784734940f287a6fc7d8c351933,

title = "Contribution of Age and Gender to Outcome of Blunt Splenic Injury in Adults: Multicenter Study of the Eastern Association for the Surgery of Trauma",

abstract = "Background : The purpose of this study was to examine the contribution of age and gender to outcome after treatment of blunt splenic injury in adults.Methods : Through the Multi-Institutional Trials Committee of the Eastern Association for the Surgery of Trauma (EAST), 1488 adult patients from 27 trauma centers who suffered blunt splenic injury in 1997 were examined retrospectively.Results : Fifteen percent of patients were 55 years of age or older. A similar proportion of patients >= 55 went directly to the operating room compared with patients < 55 (41% vs. 38%) but the mortality for patients >= 55 was significantly greater than patients < 55 (43% vs. 23%). Patients >= 55 failed nonoperative management (NOM) more frequently than patients < 55 (19% vs. 10%) and had increased mortality for both successful NOM (8% vs. 4%, p < 0.05) and failed NOM (29% vs. 12%, p = 0.054). There were no differences in immediate operative treatment, successful NOM, and failed NOM between men and women. However, women >= 55 failed NOM more frequently than women < 55 (20% vs. 7%) and this was associated with increased mortality (36% vs. 5%) (both p < 0.05).Conclusion : Patients >= 55 had a greater mortality for all forms of treatment of their blunt splenic injury and failed NOM more frequently than patients < 55. Women >= 55 had significantly greater mortality and failure of NOM than women < 55.",

author = "Harbrecht, {Brian G.} and Peitzman, {Andrew B.} and Louis Rivera and Brian Heil and Croce, {Martin A.} and Morris, {John A.} and Enderson, {Blaine L.} and Stanley Kurek and Michael Pasquale and Frykberg, {Eric R.} and Minei, {Joseph P.} and Wayne Meredith and Jospeh Young and Kealey, {G. Patrick} and Steven Ross and Luchette, {Fred A.} and McCarthy, {Mary C.} and Frank Davis and Shatz, {David V.} and Glenn Tinkoff and Block, {Ernest F.} and Cone, {John B.} and Jones, {Larry M.} and Thomas Chalifoux and Federle, {Michael B.} and Clancy, {Keith D.} and Ochoa, {Juan B.} and Fakhry, {Samir M.} and Richard Townsend and Bell, {Richard M.} and Leonard Weireter and Shapiro, {Michael B.} and Fred Rogers and Michael Dunham and McAuley, {Clyde E.}",

year = "2001",

month = nov,

day = "1",

language = "American English",

volume = "51",

journal = "The Journal of Trauma: Injury, Infection, and Critical Care",

}

TY - JOUR

T1 - Contribution of Age and Gender to Outcome of Blunt Splenic Injury in Adults: Multicenter Study of the Eastern Association for the Surgery of Trauma

AU - Harbrecht, Brian G.

AU - Peitzman, Andrew B.

AU - Rivera, Louis

AU - Heil, Brian

AU - Croce, Martin A.

AU - Morris, John A.

AU - Enderson, Blaine L.

AU - Kurek, Stanley

AU - Pasquale, Michael

AU - Frykberg, Eric R.

AU - Minei, Joseph P.

AU - Meredith, Wayne

AU - Young, Jospeh

AU - Kealey, G. Patrick

AU - Ross, Steven

AU - Luchette, Fred A.

AU - McCarthy, Mary C.

AU - Davis, Frank

AU - Shatz, David V.

AU - Tinkoff, Glenn

AU - Block, Ernest F.

AU - Cone, John B.

AU - Jones, Larry M.

AU - Chalifoux, Thomas

AU - Federle, Michael B.

AU - Clancy, Keith D.

AU - Ochoa, Juan B.

AU - Fakhry, Samir M.

AU - Townsend, Richard

AU - Bell, Richard M.

AU - Weireter, Leonard

AU - Shapiro, Michael B.

AU - Rogers, Fred

AU - Dunham, Michael

AU - McAuley, Clyde E.

PY - 2001/11/1

Y1 - 2001/11/1

N2 - Background : The purpose of this study was to examine the contribution of age and gender to outcome after treatment of blunt splenic injury in adults.Methods : Through the Multi-Institutional Trials Committee of the Eastern Association for the Surgery of Trauma (EAST), 1488 adult patients from 27 trauma centers who suffered blunt splenic injury in 1997 were examined retrospectively.Results : Fifteen percent of patients were 55 years of age or older. A similar proportion of patients >= 55 went directly to the operating room compared with patients < 55 (41% vs. 38%) but the mortality for patients >= 55 was significantly greater than patients < 55 (43% vs. 23%). Patients >= 55 failed nonoperative management (NOM) more frequently than patients < 55 (19% vs. 10%) and had increased mortality for both successful NOM (8% vs. 4%, p < 0.05) and failed NOM (29% vs. 12%, p = 0.054). There were no differences in immediate operative treatment, successful NOM, and failed NOM between men and women. However, women >= 55 failed NOM more frequently than women < 55 (20% vs. 7%) and this was associated with increased mortality (36% vs. 5%) (both p < 0.05).Conclusion : Patients >= 55 had a greater mortality for all forms of treatment of their blunt splenic injury and failed NOM more frequently than patients < 55. Women >= 55 had significantly greater mortality and failure of NOM than women < 55.

AB - Background : The purpose of this study was to examine the contribution of age and gender to outcome after treatment of blunt splenic injury in adults.Methods : Through the Multi-Institutional Trials Committee of the Eastern Association for the Surgery of Trauma (EAST), 1488 adult patients from 27 trauma centers who suffered blunt splenic injury in 1997 were examined retrospectively.Results : Fifteen percent of patients were 55 years of age or older. A similar proportion of patients >= 55 went directly to the operating room compared with patients < 55 (41% vs. 38%) but the mortality for patients >= 55 was significantly greater than patients < 55 (43% vs. 23%). Patients >= 55 failed nonoperative management (NOM) more frequently than patients < 55 (19% vs. 10%) and had increased mortality for both successful NOM (8% vs. 4%, p < 0.05) and failed NOM (29% vs. 12%, p = 0.054). There were no differences in immediate operative treatment, successful NOM, and failed NOM between men and women. However, women >= 55 failed NOM more frequently than women < 55 (20% vs. 7%) and this was associated with increased mortality (36% vs. 5%) (both p < 0.05).Conclusion : Patients >= 55 had a greater mortality for all forms of treatment of their blunt splenic injury and failed NOM more frequently than patients < 55. Women >= 55 had significantly greater mortality and failure of NOM than women < 55.

UR - https://corescholar.libraries.wright.edu/surg/591

M3 - Article

VL - 51

JO - The Journal of Trauma: Injury, Infection, and Critical Care

JF - The Journal of Trauma: Injury, Infection, and Critical Care

ER -

Contribution of Age and Gender to Outcome of Blunt Splenic Injury in Adults: Multicenter Study of the Eastern Association for the Surgery of Trauma

Abstract

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